Medica Medicare Plan Hearing Aid Benefits

150,252 Total Members

OTC Supplemental Benefits Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Covers OTC Aids? Coinsurance? Copay? Prior Authorization? Need Referral? Enrollees
Medica Medica Prime Solution Core (Cost)
H2450-034-0 		1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 24,972
Medica Medica Prime Solution Standard (Cost)
H2450-044-0 		1876 Cost $25 per Quarter No $100 No 15,599
Medica Medica Prime Solution Focus (Cost)
H2450-038-0 		1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 13,233
Medica Medica Advantage Solution H8889-001 (PPO)
H8889-001-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 12,895
Medica Medica Prime Solution Premier (Cost)
H2450-036-0 		1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 10,923
Medica Medica DUAL Solution (HMO D-SNP)
H2458-002-0 		HMO $200 per Quarter No $800 No 10,044
Medica Medica Prime Solution Premier (Cost)
H2450-043-0 		1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 8,652
Medica Medica Prime Solution Focus w/Rx (Cost)
H2450-039-0 		1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 5,879
Medica Medica Advantage Solution H8889-002 (PPO)
H8889-002-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 5,306
Medica Medica Group Advantage Solution (PPO)
H8889-801-0 		Local PPO No $0 No 5,262
Medica Medica Prime Solution Basic (Cost)
H2450-032-0 		1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 4,593
Medica Medica Advantage Solution H8889-005 (PPO)
H8889-005-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 3,357
Medica Medica Prime Solution Basic w/Rx (Cost)
H2450-016-0 		1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 3,116
Medica Medica Prime Solution Core w/Rx (Cost)
H2450-035-0 		1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 2,589
Medica Medica Group Prime Solution w/Rx (Cost)
H2450-801-0 		1876 Cost No $0 No 2,572
Medica Medica Advantage Solution H8889-003 (PPO)
H8889-003-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 2,307
Medica Medica Prime Solution Standard (Cost)
H2450-050-0 		1876 Cost $25 per Quarter No $100 No 2,295
Medica Medica AccessAbility Solution Enhanced (HMO D-SNP)
H9952-001-0 		HMO $0 per Month No $0 No 1,950
Medica Medica Prime Solution Total (Cost)
H2450-040-0 		1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 1,420
Medica Medica Prime Solution Basic w/Rx 2 (Cost)
H2450-001-0 		1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 1,413
Medica Medica Prime Solution Enhanced w/Rx 2 (Cost)
H2450-002-0 		1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 1,283
Medica Medica Advantage Solution H8889-004 (PPO)
H8889-004-0 		Local PPO $50 per Quarter No $200 Yes Yes No Yes No No 1,275
Medica Medica Prime Solution Enhanced (Cost)
H2450-033-0 		1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 1,162
Medica Medica Prime Solution Total w/Rx (Cost)
H2450-041-0 		1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 1,147
Medica Medica Advantage Solution H6154-001 (HMO-POS)
H6154-001-0 		HMOPOS $40 per Quarter No $160 Yes No No Yes No No 1,098
Medica Medica Prime Solution Core (Cost)
H2450-046-0 		1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 804
Medica Medica Prime Solution Standard w/Rx (Cost)
H2450-049-0 		1876 Cost $25 per Quarter No $100 No 801
Medica Medica Prime Solution Premier w/Rx (Cost)
H2450-037-0 		1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 760
Medica SSM Health Plan Integrity (HMO-POS)
H8019-002-0 		HMOPOS $55 per Quarter No $220 Yes No No No No No 639
Medica Medica Advantage Solution H8889-008 (PPO)
H8889-008-0 		Local PPO $50 per Quarter No $200 Yes Yes No Yes No No 559
Medica Medica Advantage Solution H3632-001 (PPO)
H3632-001-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 528
Medica Medica Prime Solution Premier (Cost)
H2450-042-0 		1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 326
Medica Medica Advantage Solution H6154-002 (HMO-POS)
H6154-002-0 		HMOPOS $40 per Quarter No $160 Yes No No Yes No No 298
Medica Medica Prime Solution Thrift (Cost)
H2450-030-0 		1876 Cost No $0 No 256
Medica Medica Advantage Solution H8889-009 (PPO)
H8889-009-0 		Local PPO $75 per Quarter No $300 Yes Yes No Yes No No 241
Medica Medica Prime Solution Thrift w/Rx (Cost)
H2450-007-0 		1876 Cost No $0 No 212
Medica Medica Prime Solution Premier (Cost)
H2450-048-0 		1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 180
Medica Medica Advantage Solution with CHI Health (HMO)
H0798-001-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 149
Medica Medica Prime Solution Core (Cost)
H2450-045-0 		1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 89
Medica SSM Health Plan Harmony (HMO-POS)
H8019-003-0 		HMOPOS $40 per Quarter No $160 Yes $750 No No No No No 33
Medica SSM Health Plan FlexSpend (HMO-POS)
H8019-005-0 		HMOPOS $60 per Quarter No $240 Yes $750 No No No No No 23
Medica Medica Prime Solution Core (Cost)
H2450-047-0 		1876 Cost $50 per Quarter No $200 Yes $0 Yes No No No No 12

Plan Claims Contact Information

Organization Name: Medica
Contact Name: Danielle Bean
Title:
Phone: 1-952-992-2864
Email: danielle.bean@medica.com
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